Society for Cardiovascular Magnetic Resonance 2019 Case of the Week series

Figures

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  Fig. 1.. Case 1. 12 lead electrocardiogram (ECG). Sinus rhythm with T-wave inversion in most precordial leads (V2−V6) and some inferior limb leads (III and aVF)

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  Fig. 2. Case 1. T2-weighted short tau inversion recovery (STIR) imaging of the left ventricular (LV) short axis from base to apex. Diffuse increase in subendocardial signal intensity suggestive of subendocardial edema

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  Fig. 3. Case 1. Short axis stack T1 weighted (high resolution-magnitude) late gadolinium enhancement (LGE) imaging. Subendocardial enhancement in the mid to distal LV cavity

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  Fig. 4. Case 1. Phase sensitive inversion recovery (PSIR). a Three chamber view with subtle subendocardial LGE of the mid and apical anteroseptal and inferolateral wall segments. b Four chamber view with subtle subendocardial LGE of the mid and apical inferoseptal and anterolateral wall segments

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  Fig. 5. Case 1. Native T1, post-contrast T1, and extracellular volume (ECV) map in 4-chamber view. Native T1 (a) and ECV map (b) with abnormal measured native T1 and ECV in region of interest (apical septum) compared to remote region (basal septum). Pre-contrast T1 (c), post-contrast T1 (d), and ECV (e) map in 4-chamber view

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  Fig. 6. Case 1. Chest computed tomography (CT) coronal view. Nonspecific sub pleural pulmonary infiltrates in the left upper lobe (yellow arrow). CT guided needle biopsy of this lesion revealed eosinophilic infiltrates consistent with acute eosinophilic pneumonia

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  Fig. 7. Case 1. Side by side comparison of pre- and post-treatment imaging. a 12 lead ECG. b T2-weighted STIR imaging LV short axis. c LGE short axis images. d GE 4 chamber image. e LGE 3 chamber image

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  Fig. 8. Case 2. Twelve lead ECG. Sinus rhythm with left bundle branch block

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  Fig. 9. Case 2. Systolic displacement vectors in a the patient's and b a healthy subject’s mid-ventricle

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  Fig. 10. Case 2. Torsion in the LV and a mid-ventricular slice. a Healthy subject. b Abnormal torsion in the patient

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  Fig. 11. Case 3. Transthoracic echocardiography (TTE) apical LV views with and without ultrasound enhancing agent

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  Fig. 12. Case 3. Transesophageal echocardiographic (TEE) mid-esophageal 2 chamber and transgastric projections